食管、胃吻合口瘘是食管、贲门癌切除术后重建消化道最常见、死亡率较高的严重并发症,是食管、贲门癌手术的重要研究课题。国内报道发生率在3%～5%,死亡率在30%～50%[1],国外报道更高于此数[2]。近年来瘘的死亡有所下降,但仍有20%～30%[1],是术后死亡的主要原因之一。我院自199 Esophageal and gastric anastomotic fistulas are the most common complications of reconstructing the digestive tract after esophagectomy and cardia cancer resection, and have a high mortality rate. They are important research topics for esophageal and cardiac cancer surgery. The incidence of domestic reports is between 3% and 5%, and the mortality rate is between 30% and 50% [1]. Foreign reports are higher than this [2]. In recent years, the death of apes has declined, but there are still 20% to 30% [1], which is one of the main causes of postoperative death. Our hospital since 199